Evidence map›Paper›PMID 33403202›Full record

ArticleJournal of comorbidity

The complexity of caregiving for community-living older adults with multiple chronic conditions: A qualitative study.

Jenny Ploeg, Anna Garnett, Kimberly D Fraser, Lisa Garland Baird, Sharon Kaasalainen, Carrie McAiney, Maureen Markle-Reid, Sinéad Dufour

Open access · goldAbstract read
In one paragraph

Article in Journal of comorbidity. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 1 country.

Jenny PloegSchool of Nursing, McMaster University, Canada.ORCID https://orcid.org/0000-0001-8168-8449
Anna GarnettArthur Labatt Family School of Nursing, Western University, London, Ontario, Canada.
Kimberly D FraserFaculty of Nursing, University of Alberta, Canada.
Lisa Garland BairdFaculty of Nursing, University of Prince Edward Island, Charlottetown, Canada.ORCID https://orcid.org/0000-0002-2127-1577
Sharon KaasalainenSchool of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0000-0003-2175-6037
Carrie McAineySchlegel-UW Research Institute for Aging, Canada.ORCID https://orcid.org/0000-0002-7864-344X
Maureen Markle-ReidSchool of Nursing, McMaster University, Canada.ORCID https://orcid.org/0000-0002-4019-7077
Sinéad DufourSchool of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
McMaster University · CAImpact · CAUniversity of Alberta · CAUniversity of Prince Edward Island · CAUniversity of Waterloo · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOlder adults with multiple chronic conditions (MCC) rely heavily on caregivers for assistance with care. However, we know little about their psychosocial experiences and their needs for support in managing MCC. The purpose of this study was to explore the experiences of caregivers of older adults living in the community with MCC.

methodsThis qualitative study was a secondary analysis of previously collected data from caregivers in Ontario and Alberta, Canada. Participants included caregivers of older adults (65 years and older) with three or more chronic conditions. Data were collected through in-depth, semi-structured interviews. Interview transcripts were coded and analyzed using Thorne's interpretive description approach.

resultsMost of the 47 caregiver participants were female (76.6%), aged 65 years of age or older (61.7%), married (87.2%) and were spouses to the care recipient (68.1%). Caregivers' experiences of caring for community-living older adults with MCC were complex and included: (a) dealing with the demands of caregiving; (b) prioritizing chronic conditions; (c) living with my own health limitations; (d) feeling socially isolated and constrained; (e) remaining committed to caring; and (f) reaping the rewards of caregiving.

conclusionsHealthcare providers can play key roles in supporting caregivers of older adults with MCC by providing education and support on managing MCC, actively engaging them in goal setting and care planning, and linking them to appropriate community health and social support services. Communities can create environments that support caregivers in areas such as social participation, social inclusion, and community support and health services.

Indexed as

Caregiverscommunity caremultimorbiditymultiple chronic conditionsolder adultsqualitative research

Identifiers

PMID33403202
PMCPMC7739080
OpenAlexW3110785297

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.